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H727 • 2025

Limit Medicaid Reimb. for Facility Fees.

Limit Medicaid Reimb. for Facility Fees.

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Reeder, Blackwell, Wheatley, Gable, Ward
Last action
2026-05-12
Official status
Re-ref Com On Rules, Calendar, and Operations of the House
Effective date
2025-10-01

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Limit Medicaid Reimb. for Facility Fees.

H727-SMBC-132(CSTR-9)-v-4 (2026-04-29): Limit Medicaid Reimb.

What This Bill Does

  • H727-SMBC-132(CSTR-9)-v-4 (2026-04-29): Limit Medicaid Reimb.
  • for Facility Fees.
  • H727-SMBC-50(e1)-v-3 (2025-04-29): Marriage/Family Therapy Mods.
  • H727-SMCC-28(e2)-v-4 (2025-05-06): Marriage/Family Therapy Mods.

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

Filed

Plain English: 2025-2026 General Assembly HOUSE BILL 727: Limit Medicaid Reimb.

  • 2025-2026 General Assembly HOUSE BILL 727: Limit Medicaid Reimb.
  • for Facility Fees.
  • Committee: Senate Health Care.
  • If favorable, re -refer to Rules and Operations of the Senate Date: April 29, 2026 Introduced by: Reps.
Filed

Plain English: 2025-2026 General Assembly HOUSE BILL 727: Marriage/Family Therapy Mods.

  • 2025-2026 General Assembly HOUSE BILL 727: Marriage/Family Therapy Mods.
  • Committee: House Health.
  • If favorable, re -refer to Regulatory Reform.
  • If favorable, re -refer to Rules, Calendar, and Operations of the House Date: April 29, 2025 Introduced by: Reps.
Filed

Plain English: 2025-2026 General Assembly HOUSE BILL 727: Marriage/Family Therapy Mods.

  • 2025-2026 General Assembly HOUSE BILL 727: Marriage/Family Therapy Mods.
  • Committee: House Regulatory Reform.
  • If favorable, re - refer to Rules, Calendar, and Operations of the House Date: May 6, 2025 Introduced by: Reps.
  • Reeder, Blackwell, Wheatley, Gable Prepared by: Aaron McGlothlin* Committee Counsel Analysis of: Second Edition Kara McCraw Director *H727-SMCC-28(e2)-v-4* Legislative Analysis Division 919-733-2578 This bill analysis was prepared by the nonpartisan legislative staff for the use of legislators in their deliberations and does not constitute an official statement of legislative intent.
Filed

Plain English: 2025-2026 General Assembly HOUSE BILL 727: Marriage/Family Therapy Mods.

  • 2025-2026 General Assembly HOUSE BILL 727: Marriage/Family Therapy Mods.
  • Committee: House Rules, Calendar, and Operations of the House Date: May 6, 2025 Introduced by: Reps.
  • Reeder, Blackwell, Wheatley, Gable Prepared by: Aaron McGlothlin Staff Attorney Analysis of: Second Edition Kara McCraw Director *H727-SMCC-31(e2)-v-2* Legislative Analysis Division 919-733-2578 This bill analysis was prepared by the nonpartisan legislative staff for the use of legislators in their deliberations and does not constitute an official statement of legislative intent.
  • OVERVIEW: House Bill 727 would amend the licensure by reciprocity provisions for marriage and family therapists by: (i) reducing the practical experience requirement from five years to two years, and (ii) allowing applicants to pass the exam required by the marriage and family therapy board in California, in lieu of the national exam.
Filed

Plain English: 2025-2026 General Assembly HOUSE BILL 727: Limit Medicaid Reimb.

  • 2025-2026 General Assembly HOUSE BILL 727: Limit Medicaid Reimb.
  • for Facility Fees.
  • Committee: Senate Rules and Operations of the Senate Date: May 5, 2026 Introduced by: Reps.
  • Reeder, Blackwell, Wheatley, Gable Prepared by: Jennifer Hillman Staff Attorney Analysis of: Third Edition Kara McCraw Director *H727-SMTR-49(e3)-v-3* Legislative Analysis Division 919-733-2578 This bill analysis was prepared by the nonpartisan legislative staff for the use of legislators in their deliberations and does not constitute an official statement of legislative intent.

Bill History

  1. 2026-05-12 House

    Re-ref Com On Rules, Calendar, and Operations of the House

  2. 2026-05-12 House

    Withdrawn From Cal

  3. 2026-05-11 House

    Placed On Cal For 05/13/2026

  4. 2026-05-11 House

    Cal Pursuant 36(b)

  5. 2026-05-07 House

    Regular Message Received For Concurrence in S Com Sub

  6. 2026-05-07 Senate

    Regular Message Sent To House

  7. 2026-05-06 Senate

    Passed 3rd Reading

  8. 2026-05-06 Senate

    Passed 2nd Reading

  9. 2026-05-05 Senate

    Reptd Fav

  10. 2026-04-30 Senate

    Re-ref Com On Rules and Operations of the Senate

  11. 2026-04-30 Senate

    Com Substitute Adopted

  12. 2026-04-30 Senate

    Reptd Fav Com Substitute

  13. 2025-05-19 Senate

    Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate

  14. 2025-05-19 Senate

    Withdrawn From Com

  15. 2025-05-07 Senate

    Ref To Com On Rules and Operations of the Senate

  16. 2025-05-07 Senate

    Passed 1st Reading

  17. 2025-05-07 Senate

    Special Message Received From House

  18. 2025-05-07 House

    Special Message Sent To Senate

  19. 2025-05-07 House

    Passed 3rd Reading

  20. 2025-05-07 House

    Passed 2nd Reading

  21. 2025-05-06 House

    Placed On Cal For 05/07/2025

  22. 2025-05-06 House

    Cal Pursuant Rule 36(b)

  23. 2025-05-06 House

    Reptd Fav

  24. 2025-05-06 House

    Re-ref Com On Rules, Calendar, and Operations of the House

  25. 2025-05-06 House

    Reptd Fav

  26. 2025-04-29 House

    Re-ref Com On Regulatory Reform

  27. 2025-04-29 House

    Reptd Fav Com Substitute

  28. 2025-04-03 House

    Ref to the Com on Health, if favorable, Regulatory Reform, if favorable, Rules, Calendar, and Operations of the House

  29. 2025-04-03 House

    Passed 1st Reading

  30. 2025-04-02 House

    Filed

Official Summary Text

H727-SMBC-132(CSTR-9)-v-4
(2026-04-29): Limit Medicaid Reimb. for Facility Fees.
H727-SMBC-50(e1)-v-3
(2025-04-29): Marriage/Family Therapy Mods.
H727-SMCC-28(e2)-v-4
(2025-05-06): Marriage/Family Therapy Mods.
H727-SMCC-31(e2)-v-2
(2025-05-06): Marriage/Family Therapy Mods.
H727-SMTR-49(e3)-v-3
(2026-05-05): Limit Medicaid Reimb. for Facility Fees.

Current Bill Text

Read the full stored bill text 
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2025
H 3
HOUSE BILL 727
Committee Substitute Favorable 4/29/25
Senate Health Care Committee Substitute Adopted 4/30/26

Short Title: Limit Medicaid Reimb. for Facility Fees. (Public)
Sponsors:
Referred to:
April 3, 2025
*H727-v-3*
A BILL TO BE ENTITLED 1
AN ACT TO LIMIT MEDICAID REIMBURSEMENT FOR CERTAIN FACILITY FEES. 2
The General Assembly of North Carolina enacts: 3
SECTION 1.(a) To the extent allowed under federal law, the Department of Health 4
and Human Services is directed to ensure that the Medicaid program does not reimburse for 5
facility fees unless the services are provided on a hospital's main campus, at a facility that 6
includes an emergency department, or at an ambulatory surgical facility. 7
SECTION 1.(b) For purposes of this section, the following definitions apply: 8
(1) Ambulatory surgical facility. – As defined in G.S. 131E-176. 9
(2) Campus. – Any of the following: 10
a. The main building of a hospital. 11
b. The physical area immediately adjacent to a hospital's main building. 12
c. Other structures not contiguous to the main building of a hospital that 13
are within 250 yards of the main building. 14
d. Any other area that has been dete rmined to be part of a hospital's 15
campus by the Centers for Medicare and Medicaid Services. 16
(3) Facility fee. – Any fee charged or billed by a health care provider for 17
outpatient services provided in a hospital-based facility that is (i) intended to 18
compensate the health care provider for the operational expenses of the health 19
care provider, (ii) separate and distinct from a professional fee, and (iii) 20
charged regardless of the modality through which the health care services 21
were provided. 22
(4) Hospital. – As defined in G.S. 131E-176. 23
(5) Professional fee. – Any fee charged or billed by a provider for hospital or 24
professional medical services provided in a hospital-based facility. 25
SECTION 2. Except for statutory changes or where otherwise specified, the 26
Department of Health and Human Services shall not be required to maintain, after June 30, 2027, 27
any modifications to the Medicaid program required by this act. 28
SECTION 3. This act is effective when it becomes law and shall be implemented as 29
soon as practicable after that date. 30